Abstract

NEONATAL COMPLICATION BY INVASIVE AND NON-INVASIVE USE OF MECHANICAL VENTILATION AT SHOUQ AL-KAMEESH HOSPITAL, LIBYA

Fathia M. Alfassal*, Osama A. A. Alsharif, Ahmed Saleh A. Walid and Yusuf E. M. Alrmal

ABSTRACT

Preterm infants frequently present with respiratory insufficiency requiring respiratory assistance. Invasive mechanical ventilation has been associated with several short and long term complications. Therefore, the practice of early use of non-invasive ventilation has been adopted. Most of these infants present with respiratory distress (RD) and continue to require significant respiratory support in the neonatal intensive care unit (NICU). This article explains the pathophysiology of respiratory failure in the newborn and available methods to treat it, including continuous positive airway pressure, conventional and high-frequency mechanical ventilation. Bronchopulmonary dysplasia (BPD) remains as one of the major morbidities among survivors of the extremely preterm infants. BPD is associated with long-term adverse pulmonary and neurological outcomes. Invasive mechanical ventilation (IMV) and supplemental oxygen are two major risk factors for the development of BPD. Non-invasive ventilation (NIV) has been shown to decrease the need for IMV and reduce the risk of BPD when compared to IMV. In gender both male is 39% and female is 48%, mode of delivery in caesarean section is 33.33% and normal delivery is 66.66%. BWT is divided into two categories >3kg is 57.47% and 1 WK is 48.27% and

Keywords: Invasive Mechanical ventilation, Non- invasive ventilation, NCPAP, Libya.